Patricia Home
RCFE
A Residential Care Facility for the Elderly (RCFE) is a non-medical residential care home licensed by California CDSS under Health & Safety Code §1560. Residents receive assistance with daily living activities such as bathing, dressing, meals, and medication management in a home-like setting. RCFEs are not hospitals or skilled nursing facilities — they do not provide round-the-clock medical care.
988 Patricia Avenue · San Mateo, 94401
Quick facts
Quality snapshot
Updated April 25, 2026Compared to 214 California RCFE facilities of similar size, over the last 36 months.
Source: California Department of Social Services, Community Care Licensing Division. View raw inspection records →
Quality grade· click to show how this was calculated
Severity50thWeighted citations per bed
Repeats100thRepeat deficiencies as share of total
Frequency39thDeficiencies per inspection
Tick mark at 50% = peer median · higher percentile = better facility
Quality grade· click to show how this was calculated
Weighted citations per bed
Repeat deficiencies as share of total
Deficiencies per inspection
Tick mark at 50% = peer median · higher percentile = better facility
Patricia Home scores B−. Better than 63% of comparable California RESIDENTIAL CARE ELDERLY facilities. Severity: 50th percentile. Repeats: top 0%. Frequency: 39th percentile.
Each metric is converted to a 0–100 percentile within the peer set (higher = better). The composite grade averages all four. Peer set: CA / rcfe_general / small beds (214 facilities).
Citation severity over time
↓ improvingWeighted severity score per month · 24 months
Weighted score (24mo)
12
Last citation
Jun 25
Finding distribution
4 total · 36 monthsScope × Severity (CMS A–L)
The rules that apply to this facility
California Title 22 requirements for this facility, with the specific regulation and a suggested question for each.
What training are all staff required to complete?22 CCR §87411
All direct-care staff must complete:
- 10 hours initial training within the first four weeks of employment.
- 4 hours annual in-service every year thereafter.
- Administrator certificate from a CDSS-approved program — 80 hours for first-time, 40 hours renewal every 2 years.
Ask on tour: Ask when the last staff training was completed and how it's tracked.
How many staff must be on duty overnight?22 CCR §87415
Based on 6 licensed beds:
One qualified staff member must be on call and physically on premises at all times overnight.
Violation pattern to watch for:A facility that documents a staff member as "on call" but with that person physically off-site — when the law requires on-premises presence — is in violation of this section.
Ask on tour: Ask the facility to walk you through their overnight staffing plan and confirm whether on-call staff are on premises or off-site.
What health conditions can this facility legally accept or refuse?22 CCR §87612–87615
Restricted — allowed with physician order + care plan
- Supplemental oxygen
- Insulin and injectable medications
- Indwelling or intermittent catheters
- Colostomy / ileostomy
- Stage 1 and Stage 2 pressure injuries
- Wound care (non-complex)
- Incontinence
- Contractures
Prohibited — facility must refuse or discharge
- Stage 3 or Stage 4 pressure injuries
- Feeding tubes (PEG, NG, or J-tube)
- Tracheostomies
- Active MRSA or communicable infections requiring isolation
- 24-hour skilled nursing needs
- Total ADL dependence with inability to communicate needs
A hospice waiver (HSC §1569.73) can allow continued care for residents on hospice who would otherwise fall into a prohibited category.
Ask on tour: Ask whether your loved one's specific care needs are restricted or prohibited, and what the facility's process is if needs change after admission.
What must this facility report to the state — and how fast?22 CCR §87211 / WIC §15630
- ImmediateElopement, fire, epidemic outbreak, or poisoningImmediately
- 2 hoursAbuse with serious bodily injury2-hour phone report + 2-hour written report — to the California Department of Social Services (CDSS), Adult Protective Services, and law enforcement
- 24 hrsAbuse without serious bodily injuryWithin 24 hours
- Next dayDeath of a residentPhone by next working day; written within 7 days
- Next dayInjury requiring medical treatment beyond first aidPhone by next working day; written within 7 days
- WrittenBankruptcy, foreclosure, eviction, or utility shutoff noticeWritten notice to CDSS and residents — $100/day penalty (max $2,000) for failure
Your enforcement lever:Incidents that aren't reported on time are themselves a separate violation. If you believe a reportable event wasn't filed, you can submit a complaint directly to the California Department of Social Services (CDSS).
How does CDSS enforce these rules?22 CCR §87755–87777 / HSC §1569.58
- 1Notice of DeficiencyWritten citation with a correction deadline. Facility must submit a Plan of Correction.
- 2Civil PenaltyStarts at $50/day for non-serious; $150/day for serious deficiencies — immediately, with no grace period. Repeats escalate to $150 first day + $50/day, then $1,000 first day + $100/day.
- 3Suspension of AdmissionsFacility cannot accept new residents until violations are corrected.
- 4Temporary Suspension or RevocationEmergency suspension for imminent danger; full revocation after administrative hearing.
- 5Exclusion OrderAdministrator and operator can be barred from all CDSS-licensed facilities — not just this one.
See how these rules have been applied to this specific facility:
View state inspection record and citationsState records
California Dept. of Social Services · Community Care Licensing- License number
- 415600742
- License type
- RESIDENTIAL CARE ELDERLY
- License status
- LICENSED
- License expires
- Not yet indexed
- Licensed beds
- 6
- Operator
- Cottage Grove Home Care, Inc.
Inspections & citations
4
reports on file
4
total deficiencies
InspectionJune 19, 2025Type B1 deficiency
Plain-language summary
A follow-up inspection on May 19, 2025 found that the facility had admitted a male resident who was younger than the minimum age allowed for this type of care home. The facility was cited for violating California regulations that set age requirements for residents.
View full inspector notes
To follow up on denied age exception dated 5/19/25 for under age male resident, LPA Jeung met for administrator and issued deficiency of California Code or Regulations, Title 22, which is cited on a following page
Regulation
ACCEPTANCE & RETENTION LIMIT The following persons may be accepted or retained.....Persons who are under 60 years... whose needs are compatible with other residents in care, if they require the same amount of care and supervision as do the other residents in the facility.
Inspector finding
This requirement is not met, as 22 year old client has needs which are not compatible with other elderly residents. Licensee failed to ensure that all clients require the same amount of care and supervision, which poses a potential health, safety or personal rights risk to clients in care.
InspectionMay 13, 2025Type B2 deficiencies
Plain-language summary
This was a routine inspection of a residential care facility for elderly adults with developmental disabilities. The inspector found the facility clean and safe, with appropriate storage of medications and hazardous materials, working grab bars and safety equipment, adequate staffing and supplies, and no fire safety concerns. The facility was asked to update and submit its administrative organization documentation by May 27, 2025.
View full inspector notes
LPA Audrey Jeung toured facility and grounds of this RCFE for developmentally disabled elderly. No accessible bodies of water or fire safety hazards are observed. There are 3 shared bedrooms for residents and 2 bathrooms--one designated for residents. As per San Mateo Fire Dept.(5/2010), exit doors in bedrooms are not required to be exits. In addition, there are 2 staff rooms for 3 live-in staff. There is a detached storage shed in backyard. Washer and dryer are located in one car attached garage. Staff confirmed that facility is currently COVID free. PPE and food supplies are adequate. Medications, toxins and sharps are stored appropriately and inaccessible to clients, a comfortable temperature is maintained, and lighting is sufficient for comfort and safety. Hot water temperature tested at 111 degrees in clients' bathroom. Soap and paper towels are present in bathrooms and kitchen sink. Toilet and bathing facilities are equipped with grab bars and nonskid flooring material. First-aid kit is inspected and complete. A Disaster and Mass Casualty Plan is posted. There are 3 residents present, and 3 staff; other clients are participating in day programming off site. Criminal record clearances or exemptions for facility staff or other individuals who have client contact are reviewed, as well as other staff and client records. Personal and incidental cash transaction records are maintained accurate, including safeguarded cash for 4 residents. Aurelia Navarro is a certified RCFE administrator (x 9/25) that oversees facility operations. - Administrative Organization (LIC309) is requested to be updated and submitted to CCLD by 5/27/25: The following information is provided to LPA today: - Proof of current liability insurance - Proof of current surety bonding. Deficiencies of the General Licensing Regulations, of the California Code of Regulations, Title 22, Division 6, are cited. Also see Technical Advisory Notes--1 page--for additional information.
Regulation
(2) In addition to paragraph (1), training requirements shall also include an additional 20 hours annually, eight hours of which shall be dementia care training, as required by subdivision (a) of Section 1569.626, and four hours of which shall be specific to postural supports, restricted health conditions, and hospice care, as required by subdivisi…
Inspector finding
Based on review of staff training records, the licensee did not comply with the section cited above in 1 out of 4 staff records reviewed, which poses a potential health, safety or personal rights risk to persons in care. - There is no proof that relief staff #4 has received 20 hours of annual training, including 4 hours of training on postural supports, restricted health conditions and hospice care. POC Due Date: 05/27/2025 Plan of Correction 1 2 3 4 Proof of annual 20 hours of training for …
Regulation
POSTURAL SUPPORTS Based on the individual's preadmission appraisal, and subsequent changes to that appraisal, the facility shall provide assistance and care for the resident in those activities of daily living which the resident is unable to do for himself/herself. Postural supports may be used under the following conditions.
Inspector finding
Under no circumstances shall postural supports include tying, depriving, or limiting the use of a resident's hands or feet. Based on observation, the licensee did not comply with the section cited above, as client #1 is observed wearing thick white padded mitts on both hands, which poses a potential health, safety or personal rights risk to persons in care. Mitts are secured at wrists, and client is blind and unable to use hands. POC Due Date: 05/27/2025 Plan of Correction 1 2 3 4 Exception re…
InspectionJuly 8, 2024Type B1 deficiency
Inspector: Audrey Jeung
Plain-language summary
This was a routine inspection of a residential care facility for elderly adults with developmental disabilities. The facility's physical environment, safety equipment, medication storage, bathrooms, and staffing met requirements, though the operator was asked to submit updated administrative paperwork and forms by July 22, 2024.
View full inspector notes
LPA Audrey Jeung toured facility and grounds of this RCFE for developmentally disabled elderly. No accessible bodies of water or fire safety hazards are observed. There are 3 shared bedrooms for residents and 2 bathrooms--one designated for residents. As per San Mateo Fire Dept.(5/2010), exit doors in bedrooms are not required to be exits. In addition, there are 2 staff rooms for 4 live-in staff. There is a detached storage shed in backyard. Washer and dryer are located in one car attached garage. Staff confirmed that facility is currently COVID free. PPE and food supplies are adequate. Medications, toxins and sharps are stored appropriately and inaccessible to clients, a comfortable temperature is maintained, and lighting is sufficient for comfort and safety. Soap and paper towels are present in bathrooms and kitchen sink. Toilet and bathing facilities are equipped with grab bars and nonskid flooring material. First-aid kit is inspected and complete. A Disaster and Mass Casualty Plan is posted. There are 2 residents present, and 3 staff; other clients are participating in day programming off site. Criminal record clearances or exemptions for facility staff or other individuals who have client contact are reviewed, as well as other staff and client records. Aurelia Navarro is a certified RCFE administrator (x 9/25) that oversees facility operations. The following forms/information are requested to be updated and submitted to CCLD by 7/22/24: - Administrative Organization (LIC309) - Designation of Administrative Responsibility (LIC308) - Personnel REport (LIC500) - Emergency Disaster Plan (LIC610 revised 9 page version) - Facility Sketch (LIC999) - Control of property (recorded grant deed and current signed lease) Proof of current liability insurance is given to LPA today. Deficiency of the General Licensing Regulations, of the California Code of Regulations, Title 22, Division 6, is cited. Also see Technical Advisory Notes--5 pages--for additional information.
Regulation
(b) A residential care facility for the elderly that accepts or retains residents with restricted health conditions, as defined by the department, shall ensure that residents receive medical care as prescribed by the resident’s physician and contained in the resident’s service plan by appropriately skilled professionals acting within their scope of…
Inspector finding
Based on observation of foot wound and absence of documentation of home health, the licensee did not comply with the section cited above, as staff who are not medical professionals perform wound care for client #1. There is no documentation that staff received training on caring for foot wounds of client #1, which poses a potential health, safety or personal rights risk to persons in care. POC Due Date: 07/22/2024 Plan of Correction 1 2 3 4 Administrator to submit plan of correction to addres…
InspectionAugust 4, 2022No deficiencies
Inspector: Audrey Jeung
Plain-language summary
This was a routine inspection of a residential care facility for elderly adults with developmental disabilities. The inspector found the facility in substantial compliance with state regulations, with appropriate safety measures including grab bars in bathrooms, secure storage of medications and hazardous materials, adequate infection control practices, current staff certifications, and a posted disaster plan.
View full inspector notes
LPA Audrey Jeung toured facility and grounds of this RCFE for developmentally disabled elderly. No accessible bodies of water or fire safety hazards are observed. There are 3 shared bedrooms for residents and 2 bathrooms--one designated for residents. As per San Mateo Fire Dept.(5/2010), exit doors in bedrooms are not required to be exits. In addition, there are 2 staff rooms for 4 live-in staff. There is a detached storage shed in backyard. Washer and dryer are located in one car attached garage. LPA was temperature checked upon entry, and signed visitor log Staff confirmed that facility is currently COVID free. Infection control practices are reviewed: entry procedures, staff training and policies, resident monitoring, containment strategies, environmental preparation and cleaning. PPE supply is adequate and infection control signs are posted prominently. Medications, toxins and sharps are stored appropriately and inaccessible to clients, a comfortable temperature is maintained, and lighting is sufficient for comfort and safety. Soap and paper towels are present in bathrooms and kitchen sink. Toilet and bathing facilities are equipped with grab bars and nonskid flooring material. First-aid kit is inspected and complete. A Disaster and Mass Casualty Plan is posted. There are 5 residents present, and 3 staff; clients are participating in day programming from home, per Ms. Lagua. Criminal record clearances or exemptions for facility staff or other individuals who have client contact have been reviewed; first-aid training for staff is current. Aurelia Navarro is a certified RCFE administrator (x 9/23) that oversees facility operations. The following forms/information are requested to be updated and submitted to CCLD by 8/18/22: - Administrative Organization (LIC309) - Designation of Administrative Responsibility (LIC308) - Personnel REport (LIC500) - Emergency Disaster Plan (LIC610 revised) - Proof of current liability insurance. No deficiencies of the General Licensing Regulations, of the California Code of Regulations, Title 22, Division 6, are cited. Facility is operating in substantial compliance.
Federal summary
CMS Care CompareNot a CMS-certified facility
California RCFEs (residential care facilities for the elderly) are licensed by the state, not by CMS. CMS data only applies to skilled nursing facilities or to CCRCs that operate a licensed SNF wing.
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